Individual provider · Type 1 NPI

Willesha Monique Ford

Licensed Psychiatric Technician · San Leandro, CA

NPI number 1730823212 Active

Practice location

2050 Fairmont Dr
San Leandro, CA 94578-1001

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X41175 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1730823212

Willesha Monique Ford's National Provider Identifier is 1730823212, issued on Apr 21, 2022. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Leandro, CA. The record was last updated on Jul 10, 2026.